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Organization
JOHN PAUL VIDOLIN M D P A
Active
Organization
JOHN PAUL VIDOLIN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL VIDOLIN MD (CFO)
(941) 497-1771
Entity
Organization
Contact information
Practice address
836 SUNSET LAKE BLVD, STE 102, VENICE, FL 34292-7555
(941) 497-1771
(941) 497-1860
Mailing address
STE 102, 836 SUNSET LAKE BLVD, VENICE, FL 34292-7555
(941) 497-1771
(941) 497-1860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/07/2005
Last updated
12/18/2009
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